Elite Spectrum Care

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

ELITE SPECTRUM CARE

Practice address

3535 Peachtree Rd NE
Ste 520-230
Atlanta, GA 30326-3287

Phone

(678) 249-5229

NPI assigned

Oct 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lakeshia Wells

Title

Owner

Phone

(678) 249-5229

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1639549504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE",
            "address_2": "STE 520-230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE",
            "address_2": "STE 520-230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263287",
            "telephone_number": "678-249-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPECTRUM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "LAKESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-249-5229"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Exclusive Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.